| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
599 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
276 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
429 |
208 |
$6K |
| 99000 |
|
507 |
480 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
289 |
283 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
44 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
23 |
23 |
$2K |
| 92551 |
|
199 |
196 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
41 |
$986.90 |
| 90461 |
|
398 |
86 |
$634.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22 |
15 |
$146.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$82.50 |
| 90697 |
|
36 |
36 |
$0.15 |
| 90661 |
|
15 |
15 |
$0.01 |
| 99173 |
|
189 |
186 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |